NPIMap

Organization Active NPI

Concho County Rural Health Clinic

  • Rural Health Clinic/Center
  • Eden, TX
National Provider Identifier
1972678142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CONCHO COUNTY RURAL HEALTH CLINIC
Practice address
13 South Main Street
Eden, TX 76837-0987
Phone
(325) 869-8811
Fax
(325) 869-8899
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dudley White
Title
Administrator
Phone
(325) 869-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

13 South Main Street
Eden, TX 76837-0987

Mailing address

13 South Main Street
P.O. Box 987
Eden, TX 76837-0987
Phone (325) 869-8811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972678142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SOUTH MAIN STREET",
            "address_2": "P.O. BOX 987",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370987",
            "telephone_number": "325-869-8811",
            "fax_number": "325-869-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SOUTH MAIN STREET",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370987",
            "telephone_number": "325-869-8811",
            "fax_number": "325-869-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO COUNTY RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-869-5911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.